Organization · Type 2 NPI
Charles L Diviney III MC LPC NCC LLC
Professional Counselor · Slc, UT
NPI number
1235447772
Active
Practice location
352 S Denver St Ste 350
Slc, UT 84111-3059
Fax (801) 359-0777
Mailing address
PO Box 3872
Slc, UT 84110-3872
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 340426-6004 (UT) |
| Professional Counselor | 101YP2500X | 5170621-6004 (UT) |
| Clinical Social Worker | 1041C0700X | 6281940-3501 (UT) |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 210158-4405 (UT) |
Professional Counselor: Definition to come...
12 other providers at this address
- Alexander CarbonClinical Social Worker Salt Lake City, UT NPI 1144086208
- Andrea Laura RubidoClinical Social Worker Salt Lake City, UT NPI 1144847674
- Anthony Antonio FierroSocial Worker Salt Lake City, UT NPI 1750295226
- Crystal Marie Kimber, ACMHCMental Health Counselor Salt Lake City, UT NPI 1649153446
- Debra Irene McKowen, SUDC, SSWAddiction (Substance Use Disorder) Counselor Salt Lake City, UT NPI 1649011065
- Elin R. Kiss, CASE MANAGERCase Manager/Care Coordinator Salt Lake City, UT NPI 1356173686
- Hannah Fordham, INTERNSocial Worker Salt Lake City, UT NPI 1285465062
- Kendall Kristanne Paxman-Black, MSW, CSWClinical Social Worker Salt Lake City, UT NPI 1407697816
- Lindsey TerryPeer Specialist Salt Lake City, UT NPI 1306779384
- Megan Allred, CSWClinical Social Worker Salt Lake City, UT NPI 1275110306
- Spring KoenemanClinical Social Worker Salt Lake City, UT NPI 1790467389
- Teresa Jeannette Rodriguez, CMHC, LPCCMental Health Counselor Salt Lake City, UT NPI 1922335892
About NPI 1235447772
Charles L Diviney III MC LPC NCC LLC's National Provider Identifier is 1235447772, issued on Sep 17, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Slc, UT. The record was last updated on Oct 2, 2025.